Organization Active NPI

Renewal Christian Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Colonial Heights, VA
National Provider Identifier
1053887877
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENEWAL CHRISTIAN COUNSELING, PLLC
Practice address
3606 Boulevard Ste B
Colonial Heights, VA 23834-1341
Phone
(804) 505-4869
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Toy Newcomb, LPCNPI 1114492444
Title
Owner
Phone
(804) 505-4869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3606 Boulevard Ste B
Colonial Heights, VA 23834-1341

Mailing address

3606 Boulevard Ste B
Colonial Heights, VA 23834-1341
Phone (804) 505-4869

Other identifiers 1

IdentifierTypeStateIssuer
0701007912OtherVABOARD OF COUNSELING

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1053887877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 BOULEVARD STE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341341",
            "telephone_number": "804-505-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 BOULEVARD STE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341341",
            "telephone_number": "804-505-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "TOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-505-4869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELING",
            "identifier": "0701007912",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.